TeleMedicine Benefit Program Enrollment

Step 1 | Complete the TeleMedicine Census Form. List all employees and indicate whether they are participating.

Step 2 | Each participating employee completes the Group TeleMedicine Application.

Step 3 | Complete the TeleMedicine Agreement for List Billing.

Step 4 | Return all completed documents to:
 
TBA Member Insurance Solutions
6505 Lee Highway
Chattanooga, TN 37421

Fax: 866.791.2806
Email: TBA@assoc-admin.com